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非剥脱性分次激光与脉冲染料激光在预防甲状腺切除术后瘢痕方面的有效性比较。

Comparison of the Effectiveness of Nonablative Fractional Laser versus Pulsed-Dye Laser in Thyroidectomy Scar Prevention.

作者信息

Ha Ji Min, Kim Han Su, Cho Eun Byul, Park Gyeong Hun, Park Eun Joo, Kim Kwang Ho, Kim Lee Su, Kim Kwang Joong

机构信息

Department of Dermatology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea.

Department of Dermatology, Hallym University Dongtan Sacred Heart Hospital, Hwaseong, Korea.

出版信息

Ann Dermatol. 2014 Oct;26(5):615-20. doi: 10.5021/ad.2014.26.5.615. Epub 2014 Sep 26.

DOI:10.5021/ad.2014.26.5.615
PMID:25324655
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4198590/
Abstract

BACKGROUND

The anterior neck is the site of open thyroidectomy and where postoperative scarring can cause distress to patients. Both fractional and pulsed-dye lasers are effective and safe methods for preventing and improving surgical scars.

OBJECTIVE

This study evaluated the improvement in scar appearance with laser intervention during the wound healing process. We evaluated the effect of nonablative fractional and pulsed-dye lasers on fresh thyroidectomy scars.

METHODS

Patients were treated 3 times at 4-week interval with a follow-up visit at the 6(th) month. Scars were divided into 2 halves for each optional treatment. At every visit, a questionnaire evaluating the scar and patient satisfaction was completed.

RESULTS

Thirty patients completed the 6-month process. The mean Vancouver Scar Scale scores improved significantly from 8.0 to 4.6 and 8.2 to 4.7 with nonablative fractional and pulsed-dye lasers, respectively (p<0.001). However, there was no significant difference between the 2 methods (p=0.840).

CONCLUSION

There remains no consensus on the optimal treatment of scars. The present study indicates nonablative fractional and pulsed-dye lasers significantly improve scars. Nonablative fractional lasers are non-inferior to pulsed-dye lasers. Further studies are required to corroborate this finding.

摘要

背景

颈部前方是开放性甲状腺切除术的手术部位，术后瘢痕可能给患者带来困扰。分次激光和脉冲染料激光都是预防和改善手术瘢痕的有效且安全的方法。

目的

本研究评估了在伤口愈合过程中激光干预对瘢痕外观的改善情况。我们评估了非剥脱性分次激光和脉冲染料激光对新鲜甲状腺切除术后瘢痕的效果。

方法

患者每隔4周接受3次治疗，并在第6个月进行随访。每次治疗时，将瘢痕分为两半进行任意一种治疗。每次随访时，完成一份评估瘢痕和患者满意度的问卷。

结果

30例患者完成了6个月的治疗过程。非剥脱性分次激光和脉冲染料激光治疗后，温哥华瘢痕量表平均评分分别从8.0显著改善至4.6和从8.2显著改善至4.7（p<0.001）。然而，两种方法之间无显著差异（p=0.840）。

结论

关于瘢痕的最佳治疗方法尚无共识。本研究表明，非剥脱性分次激光和脉冲染料激光能显著改善瘢痕。非剥脱性分次激光不劣于脉冲染料激光。需要进一步研究来证实这一发现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0cf/4198590/a04d400771f1/ad-26-615-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0cf/4198590/8cbc1480f0b4/ad-26-615-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0cf/4198590/fbd204a6e632/ad-26-615-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0cf/4198590/b8811f8636a7/ad-26-615-g003.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0cf/4198590/a04d400771f1/ad-26-615-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0cf/4198590/8cbc1480f0b4/ad-26-615-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0cf/4198590/fbd204a6e632/ad-26-615-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0cf/4198590/b8811f8636a7/ad-26-615-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0cf/4198590/b60f4b4c84d8/ad-26-615-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0cf/4198590/b920b7571fbf/ad-26-615-g005.jpg
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